Individual
KEVIN DANIEL KLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2674
TN
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/12/2019
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